GC: Patient Management and Administration practice questions

Answer: D) C shape

• AIncorrect. Snapping injures the gingiva.
• BIncorrect. Use a C shape.
• CIncorrect. Use a C shape.
• DCorrect. Then slide it gently below the gumline.

Answer: C) The Charters technique

• AIncorrect. Charters is typical for appliances.
• BIncorrect. It's mainly for children.
• CCorrect. Bristles point toward the occlusal surface.
• DIncorrect. That can damage gums.

Answer: D) Xylitol

• AIncorrect. It's a sugar.
• BIncorrect. It promotes caries.
• CIncorrect. It's a sugar.
• DCorrect. Bacteria can't ferment it well.

Answer: C) Frequent sugary liquids, such as bedtime bottles

• AIncorrect. It's linked to sugar exposure.
• BIncorrect. It helps prevent caries.
• CCorrect. Avoid putting babies to bed with bottles.
• DIncorrect. That helps prevent caries.

Answer: A) Tell-show-do

Tell-show-do means explaining a step in age-appropriate language, demonstrating it, and then performing it as described. It is the most widely used behavior guidance technique for anxious children.

• ACorrect. The assistant explains the procedure at the child's level (tell), demonstrates it in a non-threatening way (show), then performs it as described (do). This builds familiarity and reduces fear.
• BIncorrect. Voice control is a deliberate change in voice volume, tone or pace to get the child's attention or interrupt disruptive behavior. It does not involve demonstrating instruments.
• CIncorrect. Positive reinforcement rewards desired behavior after it happens, for example with descriptive praise. It does not involve explaining and demonstrating a step before doing it.
• DIncorrect. Distraction draws the child's attention away from the procedure, for example with music or stories. In this scenario the assistant deliberately focuses the child's attention on the instrument.

Answer: A) By staining plaque so it can be seen

Disclosing agents are dyes that stain plaque and make it visible. They are a patient-education tool for showing where brushing and flossing need to improve.

• ACorrect. Disclosing agents contain dyes that stain plaque (biofilm) so it stands out against the teeth. This shows patients exactly which areas they missed when brushing and flossing.
• BIncorrect. Disclosing agents are dyes, not chemical scaling agents. Calculus is hardened and must be removed by professional instrumentation.
• CIncorrect. Disclosing agents temporarily color plaque. They have no whitening or bleaching effect.
• DIncorrect. Desensitizing agents such as potassium nitrate or fluoride varnish treat sensitivity. Disclosing agents only make plaque visible.

Answer: A) Brush the denture daily with a denture brush and denture cleaner, and keep it in water or denture-cleansing liquid overnight

Dentures should be brushed daily with a denture brush and denture cleaner in lukewarm water, then taken out at night and kept in water or a denture-cleansing solution. Toothpaste, mouthwash, hot water and overnight wear should all be avoided.

• ACorrect. MedlinePlus advises brushing dentures every day with a denture care product, taking them out at night, and keeping them in water or a denture-cleansing liquid.
• BIncorrect. MedlinePlus says not to clean dentures with toothpaste and recommends lukewarm water. Abrasive paste can scratch the acrylic, and hot water can warp it.
• CIncorrect. Dentures should come out every night so the tissues can rest, and they need daily cleaning, not weekly. Wearing them overnight raises the risk of sores, infection and inflammation.
• DIncorrect. MedlinePlus says not to clean dentures with mouthwash, and it says to keep them in water or a denture-cleansing liquid overnight rather than dry.

Answer: C) Tobacco cessation counseling

• AIncorrect. They're for tobacco counseling.
• BIncorrect. They're for tobacco counseling.
• CCorrect. Ask, Advise, Assess, Assist, Arrange.
• DIncorrect. They're for tobacco counseling.

Answer: A) Avoid chewing food or biting on the lip, cheek, or tongue until sensation returns

Soft-tissue anesthesia lasts longer than the procedure. Patients should be warned not to chew or bite their numb lip, cheek, or tongue until feeling returns, to avoid accidental trauma.

• ACorrect. Numb soft tissues give no sensory feedback, so the patient can bite and injure them without noticing. Eating should wait until normal sensation and function come back.
• BIncorrect. Heat does not reverse the anesthetic. It can also burn tissue the patient cannot feel, which is why hot foods and liquids are avoided while numb.
• CIncorrect. Local anesthesia after a routine restoration gives no reason to stop normal oral hygiene. The real risk is self-injury while the tissues are numb.
• DIncorrect. Gauze pressure is used to control bleeding after procedures such as extractions. It is not needed after a nerve block for a restoration.

Answer: A) Confirming drugs are within their expiration dates and used items are restocked

The emergency kit should be inspected on a regular schedule so expired drugs are replaced and used supplies are restocked. It must also stay readily accessible with oxygen ready for use.

• ACorrect. Emergency drugs and supplies should be checked on a set schedule (weekly checks are commonly advised). Expired drugs are replaced and used or missing items are restocked, so the kit is ready in an emergency.
• BIncorrect. The emergency kit must be easy to reach right away from the treatment areas. Locking it away delays care during an emergency.
• CIncorrect. The oxygen supply must be full and ready to use. Its availability is checked as part of the routine kit inspection.
• DIncorrect. The kit holds standard emergency drugs such as epinephrine, nitroglycerin, and oxygen. Patients' personal prescriptions are not stocked in it.